The growth of fat in the orbit around the eye along with atrophy of fat in the facial regions around the eye, as well as weakness in some of the orbital containing structures, contribute the fullness we see in the lower eyelid with age. Festoons are generally defined as a curtain of fabric draped and bound at intervals to form graceful curves. Many of our patients ask if regular lower-eyelid surgery is an option and we strongly discourage this form of treatment. But, does it really help? Although the terms malar bags and festoons are sometimes used simultaneously, festoons differ because they impact a broader portion of the face. These occur when the natural attachments from the underlyingfacial skeleton to the skin become more prominent creating a tethering effect. Yes, festoons can now be treated well with some surgical and non-surgical ways as well. The only device that is FDA approved for noninvasive skin lifting is Ultherapy, which is a prescriptive product meaning it has to be done by a physician or under a Dermatologic Surgeon, Board Certified in Dermatology. Other Can't imagine this would work. Fortunately, the filler that was used was a hyaluronic acid that can be dissolved with a product known as hyaluronidase. The procedure can be repeated 1 to 2 months apart as needed, and the ability to repeat the treatment is helpful given that festoons can recur even after surgical treatments. There are some factors that contribute to the eye bags hanging in a hammock-like fashion and the puffy eyes that are characteristic of festoons. Most commonly, malar bags are formed as a result of a structural issue in the skin in the lower lid and cheek area. Usually, when just starting retinol, it's recommended to use two/three times a week. The best possible treatment is CO2 laser to shrinkand tighten the overlying skin. However, this eyelid issue can be treated with some surgical and non-surgical festoons treatments. This will also improve the general under eye appearance by just filling in hollows near to the festoon areas. But if you wish to further initiate blood flow, try using some of ourmethods to increase the blood circulation. In one quick treatment, we can tighten skin, remove fat, and contour the lower face, jawline, and jowls with only a weekend of downtime. Fillers could also be placed along the cheekdepression to diminish the prominent fold. Blog. A second treatment involves incisional surgery to cut out the festoons. A festoon and a malar bag (or mound) appear under the eyes, below the lower eyelid, and on the cheek. I hope this was helpful. Eye Strain caused by too much computer time or television can also increase their size. Mewing is a method in which the tongue is positioned in a proper way to help develop the jaws and tone the muscles of the face. Sun exposure, smoking, poor diet, drinking coffee and alcohol and aging are among the possible causes. The pockets of soft tissue are sometimes called hammocks because they droop and cause noticeably swollen eyes and cheek bags. Hyaluronic acid injections are another option that can be used to treat festoons. Patient Comfort Integrated cooling with pulsed RF and vibration to aid in patient comfort. We believe in making our clients feel respected, comfortable, and assured that we have their best interests in mind. In this Medical Minute, Dr. Adam Scheiner discusses natural remedies to fix malar mounds and eyelid festoons, and what options you have to fix yours. Incorporating these drainage massages can help you fight fluid retention especially if you combine it with these 15 facial fat reducing exercises. If redness occurs, it can take from 4 - 21 days to disappear. Dear Little Girl,It appears that you do have lower eyelid festoons / malar mounds. But swollen eyelid can be treated with some home remedies. Festoons will become a pinkish color and will diminish or expand. Get the scoop on what's looking good. Unauthorized use of any of this media is strictly prohibited by law.EES brand and site by Yes Creative. Once healed, this minimizes the appearance of bags under the eyes. Festoons are defined by bulging, puffy pouches of fat and tissue that extend below the lower eyelid toward the face creating a puffy-eyes look. For example, festoons may expand if someone has a sensitivity to caffeinated drinks. Regular follow-up appointments after the procedure are quite important and allow for better management of the healing process. You may also lose excess facial fat, which will help you get hollow cheekbones- especially if you incorporate facial exercises like these15 ways to get hollow cheeks! If you are thinking about having this procedure done to treat your malar bags, be sure to have an in-depth conversation with a board-certified surgeon who specializes in eyes. Its important to note that we add blepharoplasty as a treatment for festoons to our list with some hesitancy. A topical product cannot cure the structural skin layer problems. We hope that this new product will become a powerful method of controlling this condition. Our second intention was to promote a potential new product specifically to treat Festoons and Malar bags. Before this there were no ways of treating festoons. many clients as well as myself have used the Instant Eye Tuck & Dark Circle Treatment as a minor way of controlling our Festoons. Festoons have been much more challenging . However, surgery has not shown any desirable results as there are no known methods of complete treatment. Please call (425-655-1200) or email us if you have further questions about this condition. This will then create a kind of gap in the skin layers and it will lead to great eye puffiness and swelling. It is commonly used in the face, neck and chest, but other areas can also be treated. These procedures tighten the overhanging skin and improve the look of the treated area. And while most people see malar bags only as a nuisance that affects their appearance, severe festoons can lead to peripheral vision loss. Some people can have a genetic predisposition to Festoons, but they can be caused by other factors such as muscle laxity, smoking, or sun damage to the fragile skin under the lower eyelids and above the cheek region. They are quite difficult to move from one side to another side. Should you experience any pain during the use of any of the techniques, you should cease use immediately. We nor any other manufacturer of eye products can guarantee results. The EES is specifically designed to treat direct under eye issues. When in doubt please contact us directly for a specific analysis and possible treatment options for your particular under eye problems. However, these procedures can now yield minimal and it will be temporary results. This is 3 treatments done every 4 to 6 weeks. It is my opinion thatattempting to camouflage lower eyelid bags with fillers is a mistake because it often causes irregular results. The results can be worsened by the contrasting pull of underlying facial muscles over the years. Even surgery has not shown favorable results. Microneedling can be done with peptide gel, hyaluronic acid serum, or in the case of the "vampire facial," with platelet-rich plasma. As we work the muscles, we also tighten, tauten, and firm the skin attached to them. This will work in conjunction with our other EES products. Thermage makes use of radio frequencies to tighten facial skin. Malar bags and festoons are often caused by the weakening of the muscles around the eyes. Once they start to appear they tend to become a permanent facial feature which shrinks or expands depending on the bodys reaction to certain triggers. Order | Also, it used to coaxing the skin to heal this festoon area with better quality skin. In regards to treatments to improve festoons, the first involves timing. Its normal for people with lower eyelid bags to also have the swelling on the cheeks known as festoons or malar mounds. If you have festoons and want to get rid of it then you can try: Laser Skin Resurfacing for Festoons, Hyaluronic Acid to Treat Festoons, Thermage and more. Though no one can stop the clock, aging does not have to leave you feeling unattractive, sickly, or depressed. Being aware of what aggravates the festoon sack, such as food, drink, activities which may include smoking or drinking alcohol etc. Dr. Dilip Madnani, a board-certified facial plastic surgeon in New York City, says that the answer isnt always black-and-white when it comes to nonsurgical treatment for malar bags. The most common adverse side effect was discomfort, experienced by 18% of patients, followed by swelling (15%), bruising (13%) and face not looking smooth (10%). A festoon is defined as "a curtain of fabric draped and bound at intervals to form graceful curves." A patient with festoons would hardly call them "graceful!" Festoons, also called malar mounds or cheek bags, are redundant folds of loose skin, muscle, fat, and/or fluid that appear at the lower eyelid-cheek interface. Look Here:Droopy Eyelids (Ptosis) Diagnosis, Exercises, Treatments, Surgery & More. In addition they can be due to circulatory issues and high blood pressure. Laser Skin Resurfacing treatment for festoon can be accomplished in just about 10 minutes per eyelid. When you look up, eye bags become more pronounced. You may ask yourself, are festoons fat or fluid? If you decide to get a more invasive massage with a derma roller or a micro-needling treatment, contact a professional. Also, the device looks like it would HIFU means High Intensity Focused Ultrasound and it is a very specific technology that is not the same as other forms of ultrasound. What is the standard eyelid surgery recovery time? Use only a tiny dot and apply directly to the milia. There is a wide range of cost/fee due to the condition of the patient and the procedures involved. Surgery, however, can indeed be expensive and carries a certain risk. Can you tell me if that is the best way to fix them? http://www.adamscheinermd.com/lower-eyelid-bags-vs-festoons. Our Pennsylvania location effectively treats . It also allows for early recognition of complications. However, the most common and effective treatment option we recommend is SOOF Lift treatment combined with a form of skin resurfacing such as a peel or laser treatment. The malar edema is a fluid accumulation on the malar eminence, the malar bag is represented by chronic edema of permanent soft parts and the festoons are an accumulation of cascading skin 3. However, similar to direct excision of the mounds, filler can sometimes worsen the problem, making festoons more noticeable. Eyelids / Festoons 650 per treatment . This can help make the festoons less prominent if skin laxity is the problem. Pickup & Same Day Delivery available on most store items. Before/After | If you have a surgeon who is dedicated to detecting possible complications and postoperative laser skin healing care is quite vital to the aesthetic and clinical outcome. Apply a cold compress to the problematic area a couple of times a day for a few minutes. From 61 responses, 59% of patients noted improvement in the appearance of festoons, with 26.2% reporting complete resolution. He offers patients in Philadelphiaand nationally- effective and innovative treatments. Plastic surgery can be a life-changing experience that enhances your appearance as well as your inner well-being. If not if it is not treated in time then you would be required to seek lower eyelid rejuvenation. The average follow-up time after injection was 3.6 years. If youre experiencing a medical issue, please contact a healthcare professional or dial 911 immediately. It is a term given for a skin condition, also known as malar mounds. These are not to be confused with lower eyelid fat pads which are fat swellings involving the lower eyelids and are caused by enlargement of normally existing fat pads . What complications can come from a blepharoplasty? But puffy bags that go away after lifestyle shifts are different from malar bags, which are trickier to treat. What is the difference between "bags" and festoons? Festoons are sagging baggy swellings below the eyes primarily over the cheek mounds. Yes, festoons can now be treated well with some surgical and non-surgical ways as well. Ive written extensively about the fact that fillers have only a narrow role in the eyelid region, and should only be used in young patients with true hollowing in the inner lower eyelid region. Apply to clean, dry skin (it's usually best to wait at least 20 minutes after you wash your face). By putting fillers in or around festoons and malar mounds, they become fixed outward and in an elevated state. It can relax the facial muscles and work against fluid accumulation in the upper cheeks. Yes filler could be an option here however it is very important you go to an expert injector as if placed in the wrong plane it can make the swelling worse. Keep on reading to learn more about how you can combat festoons with non-invasive treatments. 83% of users starts their day with mewing.coach program. Orthodontist, lecturer, face yoga expert. Reduce the appearance of photodamage. Learn howmewing has positive effect on your eye arearight now by downloading the Mewing Coach app. That said, Dr. Reichel notes that cold compresses can temporarily improve the appearance of the festoons and offer some reprieve from the swelling. Sun exposure, smoking, poor diet, drinking coffee and alcohol and aging are among the possible causes. Recovery can take several weeks, and patients should expect some limitations on their normal routine. Festoons are excess wrinkled and crinkly tissue on the lower eyelids and upper cheek. He is the author of The True Definition of Beauty and has been featured on the Dr. OZ Show, The Doctors, the Howard Stern Show, as well as in the New York Post. New research has shown that fat can grow and atrophy during our lives in asymmetric ways. The reason for this is twofold. If your eye festoons used to appear to be a result of sagging eyelids then thermage will surely help you out. While a facelift does not eradicate malar bags per se, it can tighten the skin and reduce sagging. Following treatment the eyelids might swell temporarily, but they settle within 48-72 hours. Festoons, or bags under the lower eyelids, can be treatedwith ablative laser skin resurfacing to encourage healthier-looking skin to regrow. Festoons (what they are & different treatment options) Dr. Ariel Ostad MD PC 1.8K views 8 months ago Before You Conceal Under Eye Bags & Circles, WATCH THIS | Dominique Sachse Dominique Sachse. FESTOON TREATMENT. For some patients, Ultherapy can result innice results, particularly around the jawline and chest. If you are new to my channel, I am Danielle Collins, World Leading Face Yoga Expert and best selling author and I love sharing natural and effective techniques to help you look and feel the best version of you. In some instances, filler exacerbates the issue of festoons because it causes swelling around the cheeks, which can travel into the mound area. 2. My CoolPeel CO2 laser can be customized to your unique needs it is powerful fast and gives fabulous results. These are the redundant folds of the loose skin, fat, muscle or fluid that appear at the lower eyelid-cheek interface. For a malady that's as common to aging as waning vision, festoonsalso called "malar mounds"aren't well understood by the public, says Adam J. Scheiner, MD, an international eyelid and facial cosmetic surgeon specializing in the treatment of Festoons and featured on "The Dr. Oz Show" and "The Doctors." This is the exact opposite of the desired effect. You can improve the look of festoons and malar bags by quitting smoking and drinking fewer alcoholic beverages. This Face Yoga class helps to reduce and prevent this swelling. Visit the mewing coach website to see theogee curve explained. An aggressive CoolPeel carbon dioxide laser ablation to treat skin laxity, acne scars, deep lines and wrinkles is $2000. Most individuals with festoons also have sun damage and early skin cancers on other parts of their face. While some plastic surgeons will present this option to their patients who have malar bags, there are others who insist blepharoplasty will only worsen their appearance. The acid removes a uniform amount of damaged skin cells across the treatment area. This will work in conjunction with our other EES products. The collagen and elastic fibers in this region become fractured. As you age, the muscles might lengthen, along with the skin, and the ligaments that hold the facial tissues to your bones, but "toning" the muscles wouldn't do anything to fix the looseness in the ligaments and skin. However, she notes that the results can vary from person to person. Thank you for your question and congratulations on your weight loss. While some risk factors are outside our control, maintaining a healthy lifestyle and protecting our skin from environmental stressors can help reduce the risk of developing these cosmetic concerns. Festoons (Lower Lid Bags) & Malar Oedema & Eyebags. I recommend getting a consultation with a board-certified cosmetic dermatologist and facial sculpting expert. These are common as we age but can also be present at a young age based on your anatomy and agenetic predisposition. In addition they can be due to circulatory issues and high blood pressure. Several non-surgical options are available to help minimize the look of festoons and loose skin under the eyes. Its possible to target the malar bags and encourage collagen production with laser therapies and other energy-based tools like radiofrequency and ultrasound. Otherwise, surgery can improve that area, or fillers. This skin is new and healthy. Subscribe to our blog 5 Times It Makes More Sense to Get Facial Plastic Surgery vs. Filler, The Ultimate Wedding Timeline for Cosmetic Procedures. Keeping the tongue to the roof of the mouth can help to strengthen the facial muscles resulting in less skin drooping and better blood circulation. After turning 66, this patient decided it was time to have his festoons removed and went to see his plastic surgeon. A topical content cannot cure the issue of herniated tissue and other structural problems. We at Easy Eye Solutions are now in the preliminary stages of developing a specific product to control Festoon bags. Some people may also experience pain or irritation around the loose tissue. However, they can be controlled. 3 Future studies would be needed to further evaluate the efficacy and safety of the treatment. Malar mounds, on the other hand, are elevated regions of tissue that develop along the cheekbones and can be part of the reasonwhy your cheekbones might appear so big. Find under eye serum coupons and weekly deals. Promote collagen production. Additionally, lower eyelid surgery may not always be the first choice if you prefer non-invasive treatments or are medically unable to undergo cosmetic surgery. I have lost 155 lbs through diet and exercise. Finally, laser or RF microneedling for tightening is needed for thinner skin. Copyright 2023 easyeyesolutions.com. Distributors | Little to No Downtime Go right back to life as usual -no need to miss work or fun. The important thing to remember about malar bags is that just as the causes differ from person to person, so too do the treatments, which are based on the severity of the condition. Tips for evaluating whether you have bags or festoons, the causes of both, and solutions: Festoons, on the other hand, are high on the cheek, although they can extend to the lower lid area. You can try home remedies to stimulate the lymph system, decrease inflammation, soothe skin, and flush out toxins. Lower eyelid bags are firmer, deeper in location beneath the skin and cant be moved easily side-to-side when touched. Notice the loose skin and festoons present. Before deciding to undergo any other treatments you can try mewing to improve festoons and malar eye bags and see the benefits that the correct tongue posture will bring to the whole face. Because of the unique nature of festoons, swelling may last longer than in typical eyelid surgery but with frequent icing for the first 2-3 days after removal, swelling typically resolves in 1-2 weeks. It can hurt, but Pro-Nox (laughing gas) can help. The sutures contain biodegradable cones to hold them in place, giving you a smooth, natural look. Surgery can be performed and fat transposedto fill inthese hollows but only by someone experienced in lower eyelid surgery. New Ultrasound Facelift - How Good is It Really? If yes, then it is better but if you dont know the reasons for causing festoons then read here. All in all, Chang says that fractional lasers are able to improve the skin's . 2. Specifically, its a loosening of the orbicularis muscle (the muscle that helps close the eyelid) as well as skin and fat compartments on the face around the eye and cheek area. Lower eyelid bags are located directly below the lower eyelid lashes and are noticed to become more prominent when someone with these bags looks upwards. For the best results, fix both lower eyelid bagsand festoons and malar mounds at the same time. The second problem is that fillers are sometimes placed into the lower eyelid region or festoon directly. During your SOOF lift procedure, a small incision will be made below the eyelid and extend into the cheek area to remove or reattach any fatty tissue to your facial bones. Fellowship trained in Laser Eyelid and Facial Plastic Surgery. One example of how isolated lower eyelid surgery can be a mistake is when lower eyelid festoons or malar mounds are present. I dont add filler under the eyes and fillers should only be used for a small subset of younger individuals. The development of malar mounds as well as festoons, is an occurrence influenced by a variety of factors. This procedure is intended to treat loose, crepey skin and wrinkles or fine lines, but unfortunately, many patients have faced complications with Plasma Pen treatment. In addition they can be due to circulatory issues and high blood pressure. Festoon development can be avoided by maintaining a balanced diet and hydration. The downtime is 5 days. Another well-treated option for festoon is the thermage. They are situated on the upper edge of the cheek bone and are often confused with under eye bags or puffiness. Sculpt your face into desired look with mewing. Dr. Shah-Desai uses this technology to deliver laser energy into the malar fat compartment under the skin. Experts agree that there is no full proof method of treatment. Festoons are squishy and can be made to move side to side. The Mewing Coach app can teach youall you need to know aboutmewing mastery, festoon treatment, malar bags exercise, and how to treat malar mounds naturally with facial exercises. About us | Festoons are usually the result of damage. Treatment One quick treatment (30 to 90 minutes depending on the treatment area) can deliver outstanding results for most patients. Below, doctors explain what causes malar bags and how to improve them, both surgically and nonsurgically. The best candidates for a malar bag treatment are well balanced, in good general and mental health, and possess realistic expectations. Its best to adopt healthy habits and try some of the aforementioned home remedies. Old sun damage including some early skin cancers in the area of the festoon are removed by laser skin resurfacing and when the skin grows back, it is built by brand new cells that were never exposed to the sun before. Malar bags also known as festoons are a swelling which we often see in the under eye area. This causes the condition to worsen. In the below section, you will get to know about some treatments for festoons one by one: Laser Skin Resurfacing for Festoons Laser skin resurfacing is a procedure that utilizes sophisticated Carbon Dioxide (CO2) lasers and Erbium:Yag (Er:Yag). They dont become more prominent when you look up. One of the ways you can look and feel younger is by taking advantage of our treatment for Festoons. The ideal treatment for festoons would possess minimal invasiveness and recovery time, and predictably improve the condition. Patients can have a single festoon, multiple ones, and can occur under one eye or both. No one likes feeling older, and no one wants to appear older than they are.
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